By Andreas Marneros, Frank Pillmann

ISBN-10: 0511215789

ISBN-13: 9780511215780

ISBN-10: 0521835186

ISBN-13: 9780521835183

Acute psychotic problems with a brief period and a often strong diagnosis have lengthy intrigued psychiatrists. even though they're integrated in across the world approved diagnostic platforms, our realizing of those problems continues to be at a minimum point. This publication is the 1st complete evaluate in their scientific positive factors, biology, path and long term results. The authors additionally tackle their nosological prestige and influence on our knowing of the continuum of psychotic and affective issues.

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Example text

The concept has been strongly advocated by Str¨omgren (1986, 1987). , 2000; Ungvari and Mullen, 2000). Although according to WHO, the ‘Reactive Psychoses’ could be a synonym for ATPD, this is only true for a very small part of them. Reactive psychoses differ from ATPD, mainly due to the criterion ‘psychosocial precipitant’, which must be present in reactive psychoses, but not in ATPD. Another significant difference from ATPD is the broad and unspecific constellation of symptoms of the ‘reactive/psychogenic psychoses’, at least as presently diagnosed in Scandinavia.

In the International Pilot Study on Schizophrenia (IPSS, WHO, 1979), 1202 patients with so-called ‘endogenous psychoses’ were uniformly investigated. The study was carried out in nine countries (Colombia, Czechoslovakia, Denmark, India, Nigeria, China, Russia, United Kingdom, USA). One of the most important findings of this study was that the schizophrenic patients in the centres of developing countries (Nigeria, India, Colombia) had a more favourable course and 2-year outcome than patients in centres of industrial countries.

Reactive abnormalities are therefore a complete contrast to all morbid processes which appear spontaneously. Jaspers stressed that reactive states can be classified in different ways: (a) according to what precipitates the reaction. As examples of precipitating factors, Jaspers mentioned those responsible for prison psychoses, for psychoses due to earthquakes and catastrophes, for reactions of homesickness, combat psychoses and psychoses of isolation, whether due to linguistic barriers or deafness.

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Acute and Transient Psychoses by Andreas Marneros, Frank Pillmann


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